A Rare Anatomical Location of Necrotizing Enterocolitis; Neonatal Appendicitis
نویسندگان
چکیده
Necrotizing enterocolitis(NEC) is the most significant gastrointestinal emergency in neonates, particularly affecting those who are premature. Neonatal appendicitis highly uncommon term infants and its diagnosis typically incidental. The clinical presentation of newborn nonspecific usually mimics that NEC. Pneumatosis intestinalis a finding extremely specific to NEC; it very surprising observe this patient with acute appendicitis. A 2730-g male infant was born at 39 weeks gestation 33-year-old mother. 30 minutes after delivery , exhibited grunting respiratory distress subsequently admitted Intensive Care Unit. On 7th day, developed nutrition intolerance. feeding discontinued nasogastric catheter switched free drainage. Abdominal examination laboratory parameters were not significant, but direct abdominal radiographs showed findings suggesting pneumatosis intestinalis. NEC considered antibiotics revised accordingly. department pediatric surgery consulted as patient’s abnormalities suggestive advanced taken into operation, gangrenous detected an appendectomy performed. When considering differential neonatal patients, especially infants, clinicians should be mindful In study, we present case appendicitis, which relatively common cases period, presenting atypical
منابع مشابه
Neonatal Perforated Appendicitis Masquerading as Necrotizing Enterocolitis
A preterm neonate underwent emergent laparotomy for presumed necrotizing enterocolitis (NEC). Intra-operatively, neonatal perforated appendicitis (NPA) was encountered. This may represent a form of NEC localized to the appendix. A high index of clinical suspicion and early laparotomy are recommended.
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Necrotizing enterocolitis (NEC) is a gastrointestinal disease that mostly affects premature infants. It involves infection and inflammation that causes destruction of the bowel. Although it affects only 1 in 2,000 to 4,000 births, or between 1 and 5% of neonatal intensive care unit admissions, NEC is the most common and serious gastrointestinal disorder among hospitalized preterm infants. We pr...
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ژورنال
عنوان ژورنال: Dicle Medical Journal
سال: 2021
ISSN: ['1300-2945', '1308-9889']
DOI: https://doi.org/10.5798/dicletip.988089